Glenohumeral Cartilage Thickness: Implications in Prosthetic Design and Osteochondral Allograft Transplantation.

Autor:	Carlson CG; College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA., Chen A; Mercy Hospital Northwest Arkansas, Rogers, AR, USA., Patterson K; General Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA., Ablove RH; Department of Orthopaedics, Jacobs School of Medicine & Biomedical Sciences, Buffalo, NY, USA.
Jazyk:	angličtina
Zdroj:	Cartilage [Cartilage] 2023 Sep; Vol. 14 (3), pp. 278-284. Date of Electronic Publication: 2023 Feb 16.
DOI:	10.1177/19476035231154504
Abstrakt:	Objective: A complete understanding of the glenohumeral joint anatomy is crucial for osteochondral allograft (OCA) transplantation and prosthetic design. However, existing data on the cartilage thickness distribution are not consistent. This study aims to describe the cartilage thickness distribution at both the glenoid cavity and humeral head in males and females. Design: Sixteen fresh cadaveric shoulder specimens were dissected and separated to expose the glenoid and humeral head articular surfaces. The glenoid and humeral head were cut into 5-mm coronal sections. Sections were imaged and cartilage thickness was measured at 5 standardized points on each section. Measurements were analyzed based on age, sex, and regional location. Results: For the humeral head, cartilage was thickest centrally (M = 1.77 ± 0.35 mm) and thinnest superiorly and inferiorly (M = 1.42 ± 0.37 mm, 1.42 ± 0.29 mm). At the glenoid cavity, cartilage was thickest in the superior and inferior areas (M = 2.61 ± 0.47 mm, 2.53 ± 0.58 mm) and thinnest centrally (M = 1.69 ± 0.22 mm). Males were found to have thicker cartilage at both the humeral head and glenoid ( P = 0.0014, P = 0.0133). Conclusions: Articular cartilage thickness distribution of the glenoid and humeral head is nonuniform and reciprocal in nature. These results can be used to further inform prosthetic design and OCA transplantation. We noted a significant difference in cartilage thickness between males and females. This suggests that the sex of the patient should be taken into consideration when matching donors for OCA transplantation.
Databáze:	MEDLINE
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